Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

Christine A. Castater, Margo Carlin, Virginia D. Parker, Chris Sciarretta, Deepika Koganti, Jonathan Nguyen, April A. Grant, Randi N. Smith, Christopher R. Ramos, Jason D. Sciarretta*, Christopher J. Dente, Ravi Rajani, Samual R. Todd

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged. This article conducts an in-depth review of the literature surrounding IVC injuries and a detailed discussion of operative strategies and management as survivability is ultimately dependent on the grade of injury, location, and the presence of hemorrhagic shock.

Original languageEnglish
Pages (from-to)1316-1326
Number of pages11
JournalAmerican Surgeon
Volume87
Issue number8
DOIs
StatePublished - Aug 2021
Externally publishedYes

Keywords

  • trauma
  • trauma acute care
  • vascular surgery

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